74R12679 CLG-D
          By Luna                                                S.B. No. 133
          Substitute the following for S.B. No. 133:
          By McDonald                                        C.S.S.B. No. 133
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to distribution of and fees charged by health care
    1-3  providers or health care facilities for certain medical or mental
    1-4  health records.
    1-5        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-6        SECTION 1.  Chapter 161, Health and Safety Code, is amended
    1-7  by adding Subchapter M to read as follows:
    1-8            SUBCHAPTER M.  MEDICAL OR MENTAL HEALTH RECORDS
    1-9        Sec. 161.201.  DEFINITION.  In this subchapter, "health care
   1-10  provider" means a person who is licensed, certified, or otherwise
   1-11  authorized by the laws of this state to provide or render health
   1-12  care in the ordinary course of business or practice of a
   1-13  profession.
   1-14        Sec. 161.202.  FEES.  (a)  A health care provider or health
   1-15  care facility may not charge a fee for a medical or mental health
   1-16  record requested by a patient or former patient, or by an attorney
   1-17  or other authorized representative of the patient or former
   1-18  patient, for use in supporting an application for disability
   1-19  benefits or other benefits or assistance the patient or former
   1-20  patient may be eligible to receive based on that patient's or
   1-21  former patient's disability, or an appeal relating to denial of
   1-22  those benefits or assistance under:
   1-23              (1)  Chapter 31, Human Resources Code;
   1-24              (2)  the state Medicaid program;
    2-1              (3)  Title II, the federal Social Security Act, as
    2-2  amended (42 U.S.C.  Section 401 et seq.);
    2-3              (4)  Title XVI, the federal Social Security Act, as
    2-4  amended (42 U.S.C.  Section 1382 et seq.); or
    2-5              (5)  Title XVIII, the federal Social Security Act, as
    2-6  amended (42 U.S.C. Section 1395 et seq.).
    2-7        (b)  A health care provider or health care facility may
    2-8  charge a fee for the medical or mental health record of a patient
    2-9  or former patient requested by a state or federal agency in
   2-10  relation to the patient or former patient's application for
   2-11  benefits or assistance under Subsection (a)(1), (2), (3), or (4) or
   2-12  an appeal relating to denial of those benefits or assistance.
   2-13        (c)  A person, including a state or federal agency, that
   2-14  requests a record under this section shall include with the request
   2-15  a statement or document from the department or agency that
   2-16  administers the issuance of the assistance or benefits that
   2-17  confirms the application or appeal.
   2-18        Sec. 161.203.  DISTRIBUTION OF RECORDS.  A health care
   2-19  provider or health care facility shall provide to the requestor a
   2-20  medical or mental health record requested under Section 161.202 not
   2-21  later than the 30th day after the date on which the provider or
   2-22  facility receives the request.
   2-23        Sec. 161.204.  APPLICATION OF OTHER LAW.  This subchapter
   2-24  controls over Section 611.0045 and Section 5.08(k), Medical
   2-25  Practice Act (Article 4495b, Vernon's Texas Civil Statutes), and
   2-26  any other provision that authorizes the charging of a fee for
   2-27  providing medical or mental health records.
    3-1        SECTION 2.  The importance of this legislation and the
    3-2  crowded condition of the calendars in both houses create an
    3-3  emergency and an imperative public necessity that the
    3-4  constitutional rule requiring bills to be read on three several
    3-5  days in each house be suspended, and this rule is hereby suspended,
    3-6  and that this Act take effect and be in force from and after its
    3-7  passage, and it is so enacted.